Literature Evaluation Table
Literature Evaluation Table
| Criteria | Article 1 | Article 2 | Article 3 | Article 4 |
| Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article
| Source: Pakistan Armed Forces Medical Journal. June 30, 2019, Issue 3, 560 Publisher: Knowledge Bylanes Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsgao&AN=edsgcl.592910827&site=eds-live&scope=site | Author: Health & Medicine Week, Nov 17, 2017. P. 5504 Publisher: NewsRX LLC Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsgit&AN=edsgit.A514226775&site=eds-live&scope=site | Author: Hommes, Rachel E.; Borash, Amy I.; Hartwig, Kari; Degracia, Donna Publisher: Journal of Community Health Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131532927&site=eds-live&scope=site | Author: Granhagen Jungner, Johanna Tiselius, Elisabet Wenemark, Marika Blomgren, Klas Lützén, Kim Pergert, Pernilla Publisher: Elsevier Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edselp&AN=S0738399118301861&site=eds-live&scope=site |
| Article Title and Year Published
| Title: Communication Barriers Between Doctors, Nurses, and Patients in Medical Consultations at Hospitals of Lahore Pakistan Year Published: 2019 | Title: Study Findings from School Nursing and Midwifery Broaden Understanding of Quality of Care (Barriers to effective, safe communication and workflow between nurses and non-consultant hospital doctors during out-of-hours). Year Published: 2017 | Title: American Sign Language Interpreters Perceptions of Barriers to Healthcare Communication in Deaf and Hard of Hearing Patients Year Published: 2018
| Title: Development and Evaluation of the Communication over Language Barriers Questionnaire in Pediatric Healthcare Year Published: 2018 |
| Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
| The current study focuses on the perceptions of doctors, nurses and patients about barriers in communication to achieve a holistic understanding of and to give recommendations on how to improve communication between them in order to avoid preventable communication and medical errors. | This study aimed to evaluate the nature and type of communication and workflow arrangements between nurses and doctors out-of-hours (OOH). Effective communication and workflow arrangements between nurses and doctors are essential to minimize risk in hospital settings, particularly in the out-of-hour’s period. | This research aimed to identify American Sign Language (ASL) interpreters’ perceptions of barriers to effective communication between deaf and HOH patients and healthcare providers. | To develop a valid and reliable questionnaire addressing the experiences of healthcare personnel of communicating over language barriers and using interpreters in paediatric healthcare. |
| Design (Type of Quantitative, or Type of Qualitative)
| Qualitative | Qualitative | Qualitative | Qualitative |
| Setting/Sample
| Six participants were recruited to participate in the study using snowball sampling techniques. The first participant recommended associated colleagues, who had almost an experience of twenty years from CMH (army hospital) and Jinnah hospital Lahore, Pakistan (public hospital) as well as patients. The six participants were three males and three females (from each category i.e. a male doctor and a female doctor, a male nurse and a female nurse and a male patient and a female patient). The doctors and nurses were experienced staff. The female patient was middle aged and illiterate, while the male patient was educated, middle aged and belonged to middle class. The study design was descriptive and exploratory in nature. It was conducted for a period of three weeks in August 2018. | A 500 bed tertiary referral acute hospital in Ireland. Junior and senior Non-Consultant Hospital Doctors, staff nurses and nurse managers. | Both an online and paper survey option were distributed to the 146 conference participants. The survey consisted of ten questions. The inclusion criteria consisted of certification as an ASL interpreter and at least two years of experience. The research was conducted with Institutional Review Board approval from St. Catherine University. | Three focus group interviews were performed on a convenient sample of healthcare personnel with various academic, clinical and subject expertise. The total number of participants was 11, with three or four members per group, all female. T |
| Methods: Intervention/Instruments
| The data was collected by using semi-structured interviews in the national language, Urdu. The interviews of doctors, nurses and patients were conducted separately in English. | Qualitative descriptive design and data collection methods included focus groups and individual interviews | Survey with question formats included Likert rating scales, multiple choice and open-ended. | A multiple- methods approach to develop and evaluate the questionnaire, including focus groups, cognitive interviews, a pilot test and test-retest. The methods were chosen in accordance with questionnaire development methodology to ensure validity and reliability. |
| Analysis
| Lack of communication skills, linguistic diversity, lack of knowledge and status of doctors and patients lead to differences in communication styles and attitudes of medical professionals and patients, different disease explanation patterns, difference in disease understanding and decision making attitudes. | Both nurses and doctors acknowledged the importance of good interdisciplinary communication and collaborative working, in sustaining effective workflow and enabling a supportive working environment and patient safety. | In all areas of communication, there was a significant difference (p<0.001) between ASL interpreters’ perceptions of what deaf and HOH patients identified as adequate communication compared to what they perceived as providers’ definition of adequate communication. | The development procedure showed that the issues identified were highly relevant to paediatric healthcare personnel and resulted in a valid and reliable Communication over Language Barriers questionnaire (CoLB-q) with 27 questions. |
| Key Findings
| Deterioration of medical professional’s communication skills, linguistic barriers, cultural barriers, attitudinal barriers and lack of effective team management. | Indeed, issues of safety and missed care OOH were found to be primarily due to difficulties of communication and workflow | This study explored the quality of provider communication with deaf and HOH patients from the perspective of ASL interpreters. Interpreters have a unique role in the healthcare system, as their primary role is to listen, observe and transfer information. We had hypothesized that overall communication between providers and deaf/HOH patients would be generally good. We heard from ASL interpreters that patients and providers largely agree that ASL interpreters are the first preferred line of communication for deaf and HOH patients. | The CoLB-q is perceived as relevant, important and easy to respond to by respondents and has satisfactory validity and reliability. |
| Recommendations
| The medical professionals must take responsibility of their diction, volume and sound quality, to communicate clearly with their patients. The importance of teamwork and effective communication has not been translated into practice, especially in Pakistan, where cultural norms of communication may mitigate against team-work | Medical workflow OOH is often dependent on cues and communication to/from nursing. However, communication systems and, in particular the bleep system, considered central to the process of communication between doctors and nurses OOH, can contribute to workflow challenges and increased staff stress. It was reported as commonplace for routine work, that should be completed during normal hours, to fall into OOH when resources were most limited, further compounding risk to patient safety. | A focus on improving health care and health promotion efforts in the deaf/HOH community depends on improving communication, health literacy, and patient empowerment and involves holding health care organizations accountable for assuring adequate staffing of ASL interpreters and communication resources in order to reduce health disparities in this population. | The CoLB-q can be used to map how healthcare personnel overcome language barriers through communication tools and to identify problems encountered in paediatric healthcare. Furthermore, the transparently described process could be used as a guide for developing similar questionnaires. |
| Explanation of How the Article Supports EBP/Capstone Project
| This article supports my EBP project because it shows the direct effect that language and communication barriers have on patients. | This article supports my EBP project from a different aspect as it talks about communication barriers during “out of hours” or OOH timing, however, it still gives good support that communication barriers directly affect patient care. | This article supports my EBP project in an excellent way because it supports my theory that communication and language barriers not only exist, but patients suffer from their existence and feel much better about their healthcare when interpreters are used in THEIR language. | This is yet another article that supports my EBP project because it gives perspective on another patient population that suffers from language barriers. |
| Criteria | Article 5 | Article 6 | Article 7 | Article 8 |
| Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article
| Source: International Journal of Nursing Education (INT J NURS EDUC), Oct-Dec2017; 9(4): 30-35. (6p) Authors: Sethi, Deepak; Rani, Maj Kirti Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127723871&site=eds-live&scope=site | Source: BMC Health Services Research. August 19, 2019, Vol. 19 Issue 1 Publisher: BioMed Central Ltd Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsgao&AN=edsgcl.597052800&site=eds-live&scope=site | Source: North American Journal of Medicine and Science. July 2017, Vol. 10 Issue 3, p103, 7 p. Publisher: Exeley Inc Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsgao&AN=edsgcl.544248272&site=eds-live&scope=site | Source: CLINICAL SIMULATION IN NURSING. 6(5):e193-e198 Publisher: Netherlands: ELSEVIER SCIENCE B.V. AMSTERDAM Permalink: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsbl&AN=RN277267250&site=eds-live&scope=site |
| Article Title and Year Published
| Article Title: Communication Barrier in Health Care Setting as Perceived by Nurses and Patient Year Published: 2018 | Article Title: Health care professional’s communication through an interpreter where language barriers exist in neonatal care: a national study Year Published: 2019 | Article Title: Overcoming Communication Barriers to Healthcare for Culturally and Linguistically Diverse Patients Year Published: 2017 | Article Title: Using Simulation to Bridge Communication and Cultural Barriers in Health Care Encounters: Report of an International Workshop Year Published: 2014 |
| Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
| To assess the barriers in communication between nurses and patients. To find out the association between barriers related factors with the sociodemographical variables of health care professionals. | The aim of this study was to examine health care professionals’ use of interpreters and awareness of local guidelines for interpreted communication in neonatal care. | The growing diversity in the United States brings with it multiple cultures, languages, and communication styles. Effective communication between healthcare providers and patients is essential for quality healthcare. Barriers to communication contribute to health disparities among racial/cultural minority groups. | The workshop began with openings, greetings, introductions, and an overview of the presenters’ motivations for presenting on this topic, including the specific goals, objectives, and teaching strategies. The following background information served as the overarching themes for participants’ discussions and workshop interactions. |
| Design (Type of Quantitative, or Type of Qualitative)
| Qualitative/Quantitative | Qualitative | Qualitative/Quantitative | Qualitative |
| Setting/Sample
| This study was conducted on nurses and patients of two private hospitals affiliated to NABH in Pune, Maharashtra. These patients and nurses were selected using simple random sampling method. | A survey was distributed to all 2109 employees at all 38 neonatal units in Sweden, thus to all physicians, registered nurses and nurse assistants in active service. | The growing diversity brings with it a rich variety of cultures, languages, and communication styles, as well as challenges in cross-cultural communication. Communication between healthcare providers and patients is essential for delivery of operative healthcare services. Health promotion, accurate diagnosis, and patient safety and compliance are all contingent on effective communication between medical personnel and multicultural patients. | Simulation rooms |
| Methods: Intervention/Instruments
| Questionnaires were given to the patients and nurses, after completion, the questionnaires were collected by the researchers. The nurses from medical, surgical, ICU/CCU and emergency wards were selected by random sampling for the data collection. The sample size was calculated by power analysis. The questionnaire was given to the patient after explaining the objectives of the study and after obtaining an informed consent. The patient sample was randomly selected from medical, surgical, and emergency wards. | Data were analysed with descriptive statistics and dichotomized so the professionals were compared in groups of two using the Mantel-Haenszel Chi Square test and Fisher’s Non-Parametric Permutation test. | This article views data from the 2015 United States Census Bureau to analyze it’s theories. | This research was all done through the use of simulations in a workshop and focused on teaching nursing students. |
| Analysis
| According to the results, the mean age of the nurses was 30.2 yrs, and the mean working experience was 7.0 yrs. The mean age of the patients was 28.30 yrs and the mean of hospitalization days was 2.3 days. The results of this study showed that the nurse related factors and common factors between nurses and patients are the most and the least important barriers in health care settings. | The results of the study show insufficient awareness of guidelines in all neonatal units in Sweden. Clinical implications might be to provide healthcare professionals with guidelines and training clinical skills in using interpreters and increasing the availability of interpreters by having interpreters employed by the hospital. | It was analyzed that both verbal and nonverbal barriers to effective communication with Limited English Proficiency (LEP) patients, including issues with using interpreters. Following the analysis, strategies were explored to overcome the barriers at systemic and individual levels. There were six different levels that were found. | The need for culturally competent teaching strategies continues to grow as both the U.S. patient population and schools of nursing become more diverse and as opportunities grow for students to study abroad. Understanding the impact of patient and family cultural diversity on care is a main goal of providing culturally sensitive and appropriate care. |
| Key Findings
| An effective knowledge of nurses regarding patients’ culture, language, customs, and beliefs can help them communicate with patients without having any prejudgments or prejudice. | The results suggest that it is more common to use authorized interpreters for medical communications, while communications about nursing care are more often communicated via unauthorized interpreters. | Effective communication between healthcare providers and patients is essential for quality healthcare. Barriers to communication contribute to health disparities among racial/cultural minority groups. | Effective nurse-patient communication has been shown to improve patient compliance, outcomes, and ultimately satisfaction. |
| Recommendations
| The purpose of the healthcare system is to provide quality services and communication is the best way to gain patients’ satisfaction. Thus, according to the results of this study and previous studies, the following measures will be considerably helpful in establishing an effective nurse-patient communication: allocation of work to nurses with regard to the language and culture of the region, motivating nurses to maintain good IPR with patient, encourage on communication skills workshops, upgrading medical clinics and facilities, holding nursing quality assurance committees, and most importantly, changing attitudes of nursing managers and administrators. | There needs to be movement toward developing innovative solutions that facilitate communication in all types of health care. | Strategies to overcome the barriers at systemic and individual levels must be done. | Faculty must develop assignments and teaching strategies that expose students to a variety of cultures. |
| Explanation of How the Article Supports EBP/Capstone
| This article supports by EBP project because it gives both qualitative and quantitative data that supports my argument for inclusive healthcare. This is the only of my 8 articles that has a lot of quantitative data. | The article supports my EBP project because it shows how healthcare is affected more positively when proper interpreter utilization is done versus when nurses just “wing it”. | This article supports by EBP because it has a ton of different statistics that support the need for action to be done to fix communication and language barriers. | This article and research supports my EBP because it shows and states explicitly that effective communication improves patient compliance, outcomes, and ultimately satisfaction |
References:
1. Communication Barriers between Doctors, Nurses and Patients in Medical Consultations at Hospitals of Lahore Pakistan. Pakistan Armed Forces Medical Journal, [s. l.], n. 3, 2019. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edsgao&AN=edsgcl.592910827&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
2. Study Findings from School of Nursing and Midwifery Broaden Understanding of Quality of Care (Barriers to effective, safe communication and workflow between nurses and non-consultant hospital doctors during out-of-hours). Health & Medicine Week, [s. l.], p. 5504, 2017. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edsgit&AN=edsgit.A514226775&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
3. HOMMES, R. E. et al. American Sign Language Interpreters Perceptions of Barriers to Healthcare Communication in Deaf and Hard of Hearing Patients. Journal of Community Health, [s. l.], v. 43, n. 5, p. 956–961, 2018. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=131532927&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
4. GRANHAGEN JUNGNER, J. et al. Development and evaluation of the Communication over Language Barriers questionnaire (CoLB-q) in paediatric healthcare. Patient Education and Counseling, [s. l.], v. 101, n. 9, p. 1661–1668, 2018. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edselp&AN=S0738399118301861&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
5. PATRIKSSON, K. et al. Health care professional’s communication through an interpreter where language barriers exist in neonatal care: a national study. BMC Health Services Research, [s. l.], n. 1, 2019. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edsgao&AN=edsgcl.597052800&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
6. SETHI, D.; RANI, M. K. Communication Barrier in Health Care Setting as Perceived by Nurses and Patient. International Journal of Nursing Education, [s. l.], v. 9, n. 4, p. 30–35, 2017. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=127723871&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
7. LI, C. et al. Overcoming Communication Barriers to Healthcare for Culturally and Linguistically Diverse Patients. North American Journal of Medicine and Science, [s. l.], n. 3, p. 103, 2017. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edsgao&AN=edsgcl.544248272&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
8. MITCHELL, A. M. et al. Using Simulation to Bridge Communication and Cultural Barriers in Health Care Encounters: Report of an International Workshop. CLINICAL SIMULATION IN NURSING, [s. l.], n. 5, p. e193, 2010. Disponível em: <https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edsbl&AN=RN277267250&site=eds-live&scope=site>. Acesso em: 27 out. 2019.
Literature Evalu
ation Table
Criteria
Article 1
Article 2
Article 3
Article 4
Author, Journal
(Peer
–
Reviewed),
and Permalink or
Working Link to
Access Article
Source: Pakistan Armed
Forces Medical Journal.
June 30, 2019, Issue 3, 560
Publisher: Knowledge
Bylanes
Permalink:
https://lopes.idm.oclc.org/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=edsgao&AN=ed
sgcl.592910827&site=eds
–
live&scope=site
Author: Health & Medicine
Week, Nov 17, 2017. P. 5504
Publisher: NewsRX LLC
Permalink:
https://lopes.idm.oclc.or
g/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=edsgit&AN=eds
git.A514226775&site=eds
–
live&scope=site
Author: Hommes, Rachel E.;
Borash, Amy I.; Hartwig,
Kari; Degracia, Donna
Publisher: Journal of
Community Health
Permalink:
https://lope
s.idm.oclc.org/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=ccm&AN=13153
2927&site=eds
–
live&scope=site
Author: Granhagen Jungner,
Johanna
Tiselius, Elisabet
Wenemark, Marika
Blomgren, Klas
Lützén, Kim
Pergert, Pernilla
Publisher: Elsevi
er
Permalink:
https://lopes.idm.oclc.org/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=edselp&AN=S0
738399118301861&site=ed
s
–
live&scope=site
Article Title and
Year Published
Title: Communication
Barriers Between Doctors,
Nurses, and
Patients in
Medical Consultations at
Hospitals of Lahore Pakistan
Year Published: 2019
Title: Study Findings from
School Nursing and
Midwifery Broaden
Understanding of Quality of
Care (Barriers to
effective,
safe communication and
workflow between nurses
and non
–
consultant hospital
doctors during out
–
of
–
hours).
Year Published: 2017
Title: American Sign
Language Interpreters
Perceptions of Barriers to
Healthcare Communication
in Deaf and Hard of He
aring
Patients
Year Published: 2018
Title: Development and
Evaluation of the
Communication over
Language Barriers
Questionnaire in Pediatric
Healthcare
Year Published: 2018
Research
Questions
(Qualitative)/Hy
pothesis
(Quantitative),
and
Purposes/Aim of
Study
The current study focuses
on the perceptions of
doctors, nurses and patients
about barriers in
communication to achieve a
holistic understanding of
and to give
recommendations on how
to improve communication
between them in order to
avoid preventable
communication and medical
errors.
This study aimed to
evaluate the nature and
type of communication and
workflow arrangements
between nurses and doctors
out
–
of
–
hours (OOH).
Effective communication
and workflow arrangements
between nurs
es and doctors
are essential to minimize
risk in hospital settings,
particularly in the out
–
of
–
hour’s period.
This research aimed to
identify American Sign
Language (ASL) interpreters’
perceptions of barriers to
effective communication
between deaf and HO
H
patients and healthcare
providers.
To develop a valid and
reliable questionnaire
addressing the experiences
of healthcare personnel of
communicating over
language barriers and using
interpreters in paediatric
healthcare.
Literature Evaluation Table
Criteria Article 1 Article 2 Article 3 Article 4
Author, Journal
(Peer-Reviewed),
and Permalink or
Working Link to
Access Article
Source: Pakistan Armed
Forces Medical Journal.
June 30, 2019, Issue 3, 560
Publisher: Knowledge
Bylanes
Permalink:
https://lopes.idm.oclc.org/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=edsgao&AN=ed
sgcl.592910827&site=eds-
live&scope=site
Author: Health & Medicine
Week, Nov 17, 2017. P. 5504
Publisher: NewsRX LLC
Permalink:
https://lopes.idm.oclc.org/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=edsgit&AN=eds
git.A514226775&site=eds-
live&scope=site
Author: Hommes, Rachel E.;
Borash, Amy I.; Hartwig,
Kari; Degracia, Donna
Publisher: Journal of
Community Health
Permalink:
https://lopes.idm.oclc.org/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=ccm&AN=13153
2927&site=eds-
live&scope=site
Author: Granhagen Jungner,
Johanna
Tiselius, Elisabet
Wenemark, Marika
Blomgren, Klas
Lützén, Kim
Pergert, Pernilla
Publisher: Elsevier
Permalink:
https://lopes.idm.oclc.org/lo
gin?url=https://search.ebsc
ohost.com/login.aspx?direct
=true&db=edselp&AN=S0
738399118301861&site=ed
s-live&scope=site
Article Title and
Year Published
Title: Communication
Barriers Between Doctors,
Nurses, and Patients in
Medical Consultations at
Hospitals of Lahore Pakistan
Year Published: 2019
Title: Study Findings from
School Nursing and
Midwifery Broaden
Understanding of Quality of
Care (Barriers to effective,
safe communication and
workflow between nurses
and non-consultant hospital
doctors during out-of-
hours).
Year Published: 2017
Title: American Sign
Language Interpreters
Perceptions of Barriers to
Healthcare Communication
in Deaf and Hard of Hearing
Patients
Year Published: 2018
Title: Development and
Evaluation of the
Communication over
Language Barriers
Questionnaire in Pediatric
Healthcare
Year Published: 2018
Research
Questions
(Qualitative)/Hy
pothesis
(Quantitative),
and
Purposes/Aim of
Study
The current study focuses
on the perceptions of
doctors, nurses and patients
about barriers in
communication to achieve a
holistic understanding of
and to give
recommendations on how
to improve communication
between them in order to
avoid preventable
communication and medical
errors.
This study aimed to
evaluate the nature and
type of communication and
workflow arrangements
between nurses and doctors
out-of-hours (OOH).
Effective communication
and workflow arrangements
between nurses and doctors
are essential to minimize
risk in hospital settings,
particularly in the out-of-
hour’s period.
This research aimed to
identify American Sign
Language (ASL) interpreters’
perceptions of barriers to
effective communication
between deaf and HOH
patients and healthcare
providers.
To develop a valid and
reliable questionnaire
addressing the experiences
of healthcare personnel of
communicating over
language barriers and using
interpreters in paediatric
healthcare.
